| NPI | 1841867645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR M PENA Authorized Official 786-443-9749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM3000X Clinic/Center, Medically Fragile Infants and Children Day Care |
| Enumeration Date | 2021-06-09 |
| Last Update Date | 2021-06-09 |